Payer: Page 192


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    Industry Dive
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    Deep Dive

    What you missed at the Health Affairs Food and Health briefing

    Here’s what industry experts shared about the new integration between the food and health industries.

    By Nov. 5, 2015
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    Wikimedia
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    Let's make a deal! California and feds OK $6.2B Medicaid reform agreement

    The majority of the funds, $3.3 billion, will go towards helping public hospitals improve safety and quality of patient care. 

    By Nina Flanagan • Nov. 5, 2015
  • Explore the Trendline
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    Yujin Kim/Healthcare Dive
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    Trendline

    Payer/provider relationships

    As M&A intensifies and companies embrace more holistic and value-based care models, partnerships have become more closely intertwined.

    By Healthcare Dive staff
  • UnitedHealth positioned to benefit by others' megamergers

    The company could profit from its competitors' growing pains, experts suggest.

    By Heather Caspi • Nov. 4, 2015
  • Deep Dive

    How much do physicians trust insurance companies?

    "Dismal" trust levels could impede risk-based healthcare and payment models.

    By Heather Caspi • Nov. 4, 2015
  • HCA to bury shareholder hatchet for $215M

    The 2011 lawsuit to be settled alleged the company used misleading information when making its initial public offering.

    By Nov. 4, 2015
  • Michigan health co-op to shutter operations

    Yesterday, representatives at a contentious House Ways and Means Subcommittee on Health meeting vented their frustrations on why the co-ops are failing.

    By Nov. 4, 2015
  • Montana becomes 30th state to expand Medicaid

    After a three-year battle to achieve a bipartisan compromise, some experts hope more states will follow.

    By Heather Caspi • Nov. 4, 2015
  • SHOP enrollment falls short of expectations

    The marketplace for small employers is proving slow to catch on but that isn't bothering the Obama administration.

    By Heather Caspi • Nov. 4, 2015
  • HealthCare.gov testing whether consumers will use physician search feature

    CMS stated a pilot prescription drug check feature will roll out in the coming weeks.

    By Nov. 3, 2015
  • Health Alliance Plan, HealthPlus Sign like each other so much, they agreed to merge

    The merger will establish a company that’s one of the largest health insurers in Michigan.

    By Nov. 3, 2015
  • New York health co-op forced by government hand to close early

    Health Republic Insurance of New York will end all policies on Nov. 30.

    By Nov. 3, 2015
  • California slaps Blue Shield, Anthem with fines over inaccurate provider directories

    “These inaccuracies limited enrollee access to care that resulted in an unacceptable consumer experience and must be fixed.”

    By Nov. 3, 2015
  • Health Affairs: Severe obesity cost U.S. $69B

    Approximately 27% of the cost of severe obesity was paid for by private health plans in 2013.

    By Nov. 3, 2015
  • 2016 OPPS rule finalizes two-midnight policy, doesn't take criticism

    Hospital admissions lasting less than two midnights can qualify as exceptions to be payable under Medicare Part A.

    By Heather Caspi • Nov. 3, 2015
  • CMS to Arizona co-op: No market exchange for you

    Meritus, the 11th health cooperative to shut its doors, was reportedly caught off-guard by last week's order for supervision.

    By Heather Caspi • Nov. 3, 2015
  • With final rule, Medicare to pay for end-of-life consultations

    CMS proposed Medicare start reimbursing for end-of-life consults back in July. 

    By Nina Flanagan • Nov. 3, 2015
  • Nonprofit hospitals poor at informing patients about charity care

    A study finds the hospitals "far from perfect" on meeting requirements to tell patients about their options.

    By Heather Caspi • Nov. 2, 2015
  • Proposed rule addresses wellness programs' collection of health info

    Voluntary programs would be allowed to seek limited genetic information.

    By Heather Caspi • Nov. 2, 2015
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    Fotolia
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    CMS releases final rule on essential services for Medicaid beneficiaries

    The provisions aim to enhance meaningful access to healthcare services.

    By Heather Caspi • Nov. 2, 2015
  • UnitedHealthcare expands pilot of bundled payments for chemo

    The insurer is also working on a deal to purchase workers' comp and pharmacy benefits company Helios.

    By Heather Caspi • Oct. 30, 2015
  • Aetna to rejoin Colorado small-group market

    However, the insurer will no longer offer subsidized health insurance benefits in Utah, Kansas, and D.C.

    By Heather Caspi • Oct. 30, 2015
  • HHS: Switch health plans, save money

    Despite average increases in premiums, those who shop around are likely to be able to save.

    By Heather Caspi • Oct. 30, 2015
  • House passes budget deal, Medicare changes included

    The bill now heads to the Senate.

    By Oct. 29, 2015
  • Anthem Blue Cross reimburses California customers $8.3M

    One expert stated "this settlement...holds the insurance company accountable to the terms they promised." 

    By Nina Flanagan • Oct. 29, 2015
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    Fotolia
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    Blue Shield of California removing two hospitals from network

    Insurer states rates would have been higher if the insurer kept the dropped hospitals. 

    By Nina Flanagan • Oct. 29, 2015